When you point and admire yourself in the mirror while you are having sex. A reference to what Patrick Bateman played by Christian Bale did a scene from the movie American Psycho.
Friend 1: "I'm a Business Administrator, I'm very important to my company but all I do is I just sign some stuff and send it lower down the ranks once or twice a day. I get everything I want but it still doesn't feel enough for the power I hold"
Friend 2: AHHH! The Patrick Bateman Conundrum.